Active NPIIndividual provider

Jessica Blackwell

Behavior Technician in South Yarmouth, Massachusetts

NPI Number1447759329
Practice location
436 Station Ave, South Yarmouth, MA 02664-1208
Fax
—
Last updated
February 6, 2018

Jessica Blackwell is a Behavior Technician based in South Yarmouth, MA. Jessica Blackwell practices in South Yarmouth, MA. The NPI Number for Jessica Blackwell is 1447759329 and holds a License No. S84257855 (MA). The current practice location address for Jessica Blackwell is 436 Station Ave, South Yarmouth, MA 02664-1208 and can be reached out via phone at 508-694-0101.

Provider Profile Details

NPI Number
1447759329
Provider Name
Jessica Blackwell
Provider Entity Type
Individual
Gender
Female
Address
436 Station Ave, South Yarmouth, MA 02664-1208
Phone Number
508-694-0101
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
February 6, 2018
Last Update Date
February 6, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
436 Station Ave
South Yarmouth, MA 02664-1208
Zip
02664-1208
Phone Number
508-694-0101
South Yarmouth, MA 02664Get directions →

Provider Business Mailing Address Details

Address
21600 Oxnard St
Woodland Hills, CA 91367-4976
City
Woodland Hills
State
CA
Zip
91367-4976

License Information

License Number
S84257855
License State
MA
Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Blackwell?

The NPI number of Jessica Blackwell is 1447759329. It was assigned on February 6, 2018 and is currently active in the NPPES registry.

What is the specialty of Jessica Blackwell?

Jessica Blackwell is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in MA under license number S84257855.

Where does Jessica Blackwell practice?

The practice location is 436 Station Ave, South Yarmouth, MA 02664-1208. The office can be reached at 508-694-0101 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447759329 directly on the NPPES registry website.

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